Dennis L Dedecker (NPI# 1073516688, PAC ID# 3678501921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1073516688 |
| PAC ID by PECOS | 3678501921 |
| Professional Enrollment ID | I20050729000207 |
| Full Name | Dennis L Dedecker |
| Address |
2185 N 1700 W Suite 20 Layton UT 84041-1192 |
| Gender | M |
| Credential | DDS |
| Medical School | UNIV OF CALIF, SAN FRANCISCO SCHOOL OF DENTISTRY |
| Graduation Year | 1976 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2185 N 1700 W, Suite 20, Layton, UT 84041-1192 |
| Street Address |
2185 N 1700 W SUITE 20 |
| City | LAYTON |
| State | UT |
| Zip | 84041-1192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian H Morgan | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Douglas T Shepherd | Physical Medicine and Rehabilitation | Alpine Spine Sports and Rehabilitation LLC | 1916 N 700 W, Suite 250, Layton, UT 84041 |
| Scott K Thompson | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Douglas Kimball Henstrom | Plastic and Reconstructive Surgery | Utah Plastic Surgery LLC | 2255 N 1700, Suite 205, Layton, UT 84041-1119 |
| Casey J Thomas | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Wade B Larsen | General Surgery | Salt Lake Surgical Services Pllc | 1492 W Antelope Dr, Suite 209, Layton, UT 84041-1139 |
| Rod Thornley | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Michael Washburn | Ophthalmology | Michael D Washburn, M.d. | 2255 N 1700 W, 100 Insight Laser and Cataract Eye Specialists, Layton, UT 84041-1140 |
| Heather L Bernard | Nurse Practitioner | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Callie A Murray | Clinical Social Worker | Davis Behavioral Health Inc | 2250 N 1700, Layton, UT 84041-1140 |
| Find all physicians in zip 84041 | |||
| City | LAYTON |
| Zip Code | 84041 |
| Specialty | ORAL SURGERY |
| City + Specialty | LAYTON + ORAL SURGERY |
Please comment or provide details below to improve the information on Dennis L Dedecker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.